Individual provider · Type 1 NPI

Jerry Edward Thomas, LICDC-CS

Addiction (Substance Use Disorder) Counselor · Chesapeake, OH

NPI number 1306362330 Active

Practice location

11470 County Road 1
Chesapeake, OH 45619-7010

Call (740) 451-0074 Map

Mailing address

2432 S 4th St
Ironton, OH 45638-2609

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDCIII.161573 (OH)
Case Manager/Care Coordinator 171M00000XLICDC.161973 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.161973 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306362330

Jerry Edward Thomas, LICDC-CS's National Provider Identifier is 1306362330, issued on Aug 22, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chesapeake, OH. The record was last updated on Feb 21, 2024.